Prediabetes is the stage before diabetes developing diabetespment. At this stage, the blood glugose level is higher than normal, but did not reach the diabetes diagnosis stage (i.e. a fasting plasma glucose level of 7.0 mmol/L or higher). Not everyone with prediabetes will develop type 2 diabetes, but many of them will in the future.
There are two different tests can be used by your doctor to know whether you have pre-diabetes:
Impaired fasting glucose (IFG): If your blood glucose level is between 100- 125 mg/dl (5.6-6.9 mmol/L), these level indicate that you fall into the prediabetes category.
If your blood glucose level is abnormal following the FPG
Impaired glucose tolerance (IGT): if your blood glucose level is abnormal following the OGTTAfter drinking a glucose rich beverage (75 grams of carbohydrate, OGTT), and if the 2 hours blood glucose is 140-199 mg/dL), these levels indicate that you have prediabetes.
More recently Glycated hemoglobin (A1C) can be used for diagnosis. If A1C level is between (6 – 6.4 ), these indicate that the person is pre diabetic.
We are allowed to use these as they are provided by the world diabetes day !!!
Research has shown that prediabetes management can prevent or delay diabetes development. Losing even (5-10 percent of your total body weight), through a healthy eating (low calories with low fat intake), and regular exercise (at least 150 minutes per week) can prevent diabetes by up to 58 percent in two studies.
Some people may benefit from adding metformin (glucophage) tablet in addition toplus the life style modificationschanges to prevent diabetes development. (Different font or colour) We at Kuwait diabete team highly recommend taking glucophage in Kuwaiti population if your blood glucose reaches 6.0 mmol/L, and having had a serious attempt on lifestyle modifications.
Being active and eating healthy diet is very important. Your blood gluose level should be assessed yearly by your doctor and not through the use of the self blood glucose meter. Of course should you develop any diabetes symptoms you need to consult your doctor early.
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